League Of Minnesota Human Rights Commissions

Essay Contest Entry Form 
(tape, glue, or staple to back of essay) 

 

Please write or print very plainly.

 

Your name: _________________________________

Your grade: ___________

 

Your home address:

_______________________________

_______________________________
Zip Code: ______________

 

Name of your parent(s)___________________________________

Telephone number of parent(s)_____________________________

Email: ______________________________________________

Name of your teacher: ___________________________________

School name: _________________________________________

School address:

___________________________________________________

School telephone number:

___________________________________________________

 

Permission to publish essay and photos from award program in print, multimedia, or on-line:

Parent(s)’ signature:

 

___________________________________________________